Individual
MS. SHEILA RENEA WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PERSONAL ASSISTANT
Contact information
Practice address
5533 N GALENA RD, PEORIA HEIGHTS, IL 61616-4461
(309) 282-2073
Mailing address
433 MAPLEWOOD AVE, CREVE COEUR, IL 61610-3206
(309) 698-8961
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
IL
Other
Enumeration date
06/16/2006
Last updated
07/09/2007
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